. Diseases of infancy and childhood . inunei-sing ii in hoilini:- watercontaining a pinch ol lablc-sall. in drawing a specimen ol hivasi-milk fora chemical cxaminaiion lln^ hicasl-pump is very useful. If an infant is ill 94 NUTEITIOX. and refuses the breast—as, for example, if it has rhinitis or eokl in the head,nasal obstruction, preventing it from breathing- while the nipple is in itsmonth—it generally will take the breast and immediately let go of it the breast-pump is properh applied, and the required quantity of milkdrawn off, the infant can be fed slowly with a spoon. In a serio


. Diseases of infancy and childhood . inunei-sing ii in hoilini:- watercontaining a pinch ol lablc-sall. in drawing a specimen ol hivasi-milk fora chemical cxaminaiion lln^ hicasl-pump is very useful. If an infant is ill 94 NUTEITIOX. and refuses the breast—as, for example, if it has rhinitis or eokl in the head,nasal obstruction, preventing it from breathing- while the nipple is in itsmonth—it generally will take the breast and immediately let go of it the breast-pump is properh applied, and the required quantity of milkdrawn off, the infant can be fed slowly with a spoon. In a serious condition—as, for example, in a severe case of pneumoniawith loss of appetite—the life of the child may depend on forced is described in the section on ^G-avage. It is very important tohave the cup or any other receptacle into which we draw the breast-milkproperly sterilized; otherwise the breast-milk will be infected in the samemanner as is described in detail in the chapters on Cows Milk andBottle-feeding.^^. Fig. 34.—Breast-pump. Massage of the Breast Dueixg Lactatiox. Caking.—^The caking, or hardening, of the breast is not due to cur-dling of the milk. This never takes place within the milk-tubes. Xeitheris it due to the presence of milk, for as a rule no milk is formed untilnursing begins, or if any, but a very small amount. The hardening ofthe gland is due to the congestion of the blood and lymph, and thereforemassage should be directed to the removal of these, and likewise shouldbe centrifugal in direction, and not aim to the removal of the milk by centrip-etal stroking. The blood-supply of the gland is mainly derived from thesubclavian and axillary arteries; the venous outflow and the lymph dischargeare by corresjDonding channels, and this is the anatomical basis for massage should begin gently below the clavicle and in the axilla, andgradually encroach more and more on the mammary region. By this methoda hard and painful breast is


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